Class Registration
This form is meant to gather information for those registering for in person classes held by Neema Wellness.  All Covid-19 protocols will be in effect and the class will be organised to adhere to social distancing guidelines.

Please visit our website: http://neemawellness.com for the online classes booking form and for more details on classes or drop me an email at contact@neemawellness.com.  

You can read our terms and conditions here: http://neemawellness.com/terms-conditions.html
We take data protection and privacy very seriously, so any information shared is kept strictly confidential.

Sign in to Google to save your progress. Learn more
Email *
Full Name *
Contact Number(s) *
Which classes do you wish to book? *
Required
Do you currently experience any muscular or joint pain?  (If YES, please explain.) *
Do you have any chronic health conditions (such as, but not limited to, cardiovascular disease, pulmonary disorders, hypertension, diabetes, or cancer)? (If YES, please explain.) *
I have read, understood and agreed to the Terms and Conditions. http://neemawellness.com/terms-conditions.html *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms